21D0942382 CLIA NUMBER - WOODHOLME MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 21D0942382
  • Facility Name: WOODHOLME MEDICAL GROUP
  • Facility Address: 1838 GREEN TREE ROAD SUITE 300
    PIKESVILLE, MD
    ZIP 21208
  • Facility Phone: 410 653-0366
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ROBERT B. KROOPNICK
  • NPI Number: 1194275453
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0942382
LAB Type Hospice
Facility Name WOODHOLME MEDICAL GROUP
Street 1838 GREEN TREE ROAD SUITE 300
City PIKESVILLE
State MD
ZIP 21208
Phone 410 653-0366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Hospice
Lab Director ROBERT B. KROOPNICK

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This page was last updated on: 9/29/2025